Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI Number | 1669927075 |
| LBN Legal business name | BREAST BODY BEAUTY LLC |
| Authorized official | AISHA BARON - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/16/2016 |
| Last updated | 06/16/2025 - About 12 months ago |
| Identifiers | n/a |
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